实时三维超声结合三维能量多普勒显像对卵巢小肿块的诊断价值.pdfVIP

· 970 · 主堡塑重 堡堂盘查 !生 !月第18卷第1i期 ChinJUltrasonogr，November2009，Vol18，No．11 ． 临 床 研 究 ． 实时三维超声结合三维能量多普勒显像对 卵巢小肿块的诊断价值 向红 贺玲 吕永泉 【摘要】 目的 探讨实时三维超声结合三维能量多普勒显像 (three—dimensionalpowerDoppler ultrasound，3DPD)对卵巢 J／,Yo块的诊断价值 。方法 107例卵巢小肿块患者进行实时三维超声及 3DPD 检查，分析声像图表现及其与 良恶性的关系。结果 实时三维超声结合 3DPD显示肿块包膜、内壁及 内部 有无血流等 3项指标 良恶性问比较差异有统计学意义 (Pd0．05)。二者结合诊断的敏感性和特异性分别 为 92．9 和 97．3 。结论 实时三维超声结合 3DPD对卵巢小肿块 的 良恶性诊断有一定价值 ，显示卵巢 小肿块包膜不完整 、内壁有颗粒状或乳头状突起及内部有血流时提示为恶性 。 【关键词】 超声检查，三维；卵巢肿瘤；诊断，鉴别 Thediagnosticvalueofcombining real。timethree-dimensionalultras0nOgraphy with three-dimensionalpower Dopplerultrasoundforsmallovarianmasses XIANG Hong，HE Ling，LU Yongquan．Departmentof UltrasoundClinicalCenterofObstetricsandGynecology，theFirstAffiliated Hospitalof Xinjiang M edicalUniversity，Urumuqi830011，China Correspondingauthor：LU Yongquan，Email：xianghong65@126．COD1 [Abstract] Objective Toevaluatethediagnosticvalueofcombiningreal—-timethree—-dimensional ultrasonography with three—dimensionalpower Doppler ultrasound for the patients with smallovarian masses．M ethods 0nehundredandsevenpatientswith smallovarianmasseswereexaminedwithreal—time three—dimensionalul“asonography and three-dimensionalpowerDoppler ultrasound．Theimagesand the relationship between benign and malignantsmallovarian masses were analyzed．Results Benign and malignantsmallovariantumorshadstatisticaldifferencesinthesethreeparameters：theenvelope，innerwal1 and whether there being centralvessels．The sensitivity and specificity ofcombining real—time three— dimensionalu1trasonographywiththreedimensionalpowerDopplerultrasoundtOdiagnosemalignantsmall ovariantumorswere92．9 and97．3 respectively．Conclusions Combining real—timethree—dimensional u1trasonographywith three—dimensionalcolorDopplerenergy can be used tOdiagnosethesmallovarian massesandprovidevaluableinformation toidentifymali